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CN105899221B - Composition for skin based on algae and olive leaf extract - Google Patents

Composition for skin based on algae and olive leaf extract Download PDF

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Publication number
CN105899221B
CN105899221B CN201380081798.0A CN201380081798A CN105899221B CN 105899221 B CN105899221 B CN 105899221B CN 201380081798 A CN201380081798 A CN 201380081798A CN 105899221 B CN105899221 B CN 105899221B
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composition
dermatological composition
algae
olive leaf
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CN105899221A (en
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M·亨德里克斯
P·A·M·布泰
M·C·范登恩德
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MEDICAL BRANDS RESEARCH BV
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/63Oleaceae (Olive family), e.g. jasmine, lilac or ash tree
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/02Algae
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/045Hydroxy compounds, e.g. alcohols; Salts thereof, e.g. alcoholates
    • A61K31/05Phenols
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/66Microorganisms or materials therefrom
    • A61K35/74Bacteria
    • A61K35/748Cyanobacteria, i.e. blue-green bacteria or blue-green algae, e.g. spirulina
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/04Peptides having up to 20 amino acids in a fully defined sequence; Derivatives thereof
    • A61K38/08Peptides having 5 to 11 amino acids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/04Peptides having up to 20 amino acids in a fully defined sequence; Derivatives thereof
    • A61K38/10Peptides having 12 to 20 amino acids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/04Peptides having up to 20 amino acids in a fully defined sequence; Derivatives thereof
    • A61K38/12Cyclic peptides, e.g. bacitracins; Polymyxins; Gramicidins S, C; Tyrocidins A, B or C
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0014Skin, i.e. galenical aspects of topical compositions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04Antibacterial agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/10Antimycotics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M35/00Devices for applying media, e.g. remedies, on the human body
    • A61M35/003Portable hand-held applicators having means for dispensing or spreading integral media

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
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  • Proteomics, Peptides & Aminoacids (AREA)
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  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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  • Dermatology (AREA)
  • Molecular Biology (AREA)
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  • Medicines Containing Plant Substances (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
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  • Cosmetics (AREA)

Abstract

The present invention provides a dermatological composition comprising a material of algae origin (e.g. Spirulina platensis) and a material of olive leaf origin, the composition comprising at least a polypeptide and hydroxytyrosol. The composition is used for treating and/or preventing skin microbial infection, such as nail fungus, tinea pedis, wound, chickenpox, and acne. The invention also provides an applicator comprising the composition. Furthermore, the present invention provides a method for preparing the skin composition. In particular, the composition comprises at least a polypeptide and hydroxytyrosol.

Description

Composition for skin based on algae and olive leaf extract
Technical Field
The present invention relates to a skin composition. Furthermore, the invention also relates to a process for preparing the composition. The invention also relates to uses including dermatological compositions.
Background
Compositions for the treatment of fungal infections and the like or other skin disorders are known in the art. For example, US2013210770 describes compounds for use in the treatment of fungal infections, more particularly for the topical treatment of onychomycosis and/or cutaneous fungal infections. US2013210770 describes compounds that are active against fungi and which have properties such that the compounds reach specific parts of skin, nails, hair, claws or hooves infected with fungi when placed in contact with a patient. These compounds are said to have physiochemical properties that facilitate penetration of the nail plate. For example, this document describes a pharmaceutical formulation comprising: a) a pharmaceutically acceptable excipient which is an alcohol; b) a compound that penetrates the nail plate and passes through the nail plate to the nail bed below the nail plate; c) a softening agent (element) which is a cyclic polydimethylsiloxane containing about 3 to about 9 silicon atoms; and the efficacy coefficient of the preparation against Trichophyton rubrum (Trichophyton rubrum) or Trichophyton mentagrophytes (Trichophyton mentagrophyte) is more than 10; wherein the compound is present in the pharmaceutical formulation at a concentration of about 0.5% to about 15%; and wherein the pharmaceutical formulation is administered to the nail of a human suffering from onychomycosis mediated at least in part by the trichophyton rubrum or trichophyton mentagrophytes.
Disclosure of Invention
Various compositions are known for the treatment of dermatological conditions such as tinea pedis, nail fungus, chicken pox, acne, etc. Many of these have no or only weak effects and/or have undesirable side effects. Moreover, many of these compounds include non-natural components, which may be less desirable. It is therefore an aspect of the present invention to provide further alternative dermatological compositions, which preferably also at least partly obviate one or more of these disadvantages.
In a first aspect, the present invention provides a (dermatological) composition comprising materials of algae and olive leaf origin, the composition comprising at least one or more of a polypeptide and hydroxytyrosol. It was surprisingly found that the combination of an algae-derived material, in particular comprising, inter alia, a beneficial polypeptide, and an olive leaf-derived material, in particular comprising hydroxytyrosol with beneficial properties, provides a synergistic effect, appearing to be effective against microorganisms, such as bacteria or fungi, which cannot be (well) treated with the algae composition or the olive leaf composition alone.
Herein, the terms "material of algae origin", "material of olive leaf origin" mean in particular that the composition comprises an extract of algae or an extract of olive leaf, respectively. Thus, the invention provides in particular a dermatological composition based on algae and olive leaf extracts.
The term "material of algal origin" may refer to a material based on one or more different types of algae. The term "algae" may also refer to Cyanobacteria (Cyanobacteria). As indicated below, the material of algae origin, in particular the algae extract, may in particular be a material of spirulina platensis (artrospira platensis) origin, in particular an extract of spirulina platensis (or an extract of spirulina platensis).
In particular, olive leaf extract as used herein comprises hydroxytyrosol, in particular also fatty acids, which exhibit unique skin barrier properties as well as antibacterial effect. The term "olive leaf-derived material" may refer to a material based on the leaves of one or more different types of olives. In particular, the term "olive leaf extract" refers to olive (Olea Europaea) leaf extract (see also below).
The skin is the most important protector for the human body. It protects the human body from a large number of foreign pathogens. The sebaceous glands are located in the skin which secretes a variety of lipids called sebum. These epidermal lipids contribute to the basal skin function as a barrier function and help to maintain skin health. Thus, it contributes to aging, conditioning and defense of the organ. Epidermal lipids provide a barrier against water movement and microbial ingress. Sometimes, the skin lacks its barrier function and needs some help. Fatty acids can help restore this barrier.
Fatty acids in olives, such as in particular linoleic and oleic acids, may have the best skin barrier properties. Furthermore, linoleic and oleic acids can build up a physical layer to protect the skin. These fatty acids also appear to have wound closure capabilities. It is further shown that oleic acid causes faster wound closure than linoleic acid. Thus, the compositions described herein may also specifically comprise linoleic acid and/or oleic acid, especially both. In addition to the protective barrier properties of fatty acids, olive leaf based compositions contain another active compound, an antioxidant and polyphenol hydroxytyrosol. Hydroxytyrosol exhibits higher cytotoxicity than oleuropein and is therefore more potent against bacteria and seems (essentially) non-toxic to mammalian cells. Challenge experiments against bacterial action (see also below) have shown that, among other things, extracts inactivate Staphylococcus aureus (Staphylococcus aureus) and staphylococcal enterotoxin (Staphylococcus enterotoxin) a.
The mode of action of olive leaf based extracts appears to have a physical mode of action in which it addresses unwanted bacteria without affecting mammalian cells such as human cells. Olive polyphenols clearly show that hydroxytyrosol penetrates the structurally different cell membranes of both gram-negative and gram-positive bacteria. Phenolic compounds and antioxidant compounds can cause the destruction of cellular peptidoglycans, or cause damage to the cell membrane of bacteria, or both. Eventually, the bacteria will become inactivated and discarded from the body. The olive leaf extract may have one or more of antibacterial, antiviral and antifungal functions.
In particular, as indicated above, as source of olive leaves, olive leaves of olea europaea are used. Very good results were obtained with olea europaea, although others could be used. Highly concentrated extracts (see also below for algal material) may be employed.
The extract may be obtained, for example, by a method comprising treating olive leaves with an aqueous liquid, in particular an aqueous liquid comprising an alcohol, and providing an olive leaf extract. The alcohol may in particular comprise a C2-C8, in particular C2-C6 alcohol, even more in particular ethanol. The extraction may be done at elevated temperatures, for example in the range of 20-100 ℃, for example 40-100 ℃. Thus, in a further embodiment, the present invention provides said (dermatological) composition, wherein the olive leaf-derived material is obtainable in particular by a method comprising treating olive leaves with an aqueous liquid, in particular an aqueous liquid comprising an alcohol, and providing an olive leaf extract.
It further shows the surprising advantage that oleuropein available in olive leaves (extracts) is converted into hydroxytyrosol (3, 4-dihydroxyphenylethanol), especially by hydrolysis. As is known in the art, hydrolysis may be carried out by using an acid or basic liquid. Here, alkaline liquids are used in particular (i.e. pH > 7, in particular > 8). In view of the general focus on oleuropein and its so-called beneficial properties in prior art applications, it was surprisingly found that decreasing the oleuropein content and increasing the hydroxytyrosol content leads to greatly improved therapeutic (and/or prophylactic) results, in particular of the diseases indicated herein. The hydrolysis may be done during the extraction or in a process after the extraction. In particular, the weight ratio of oleuropein to hydroxytyrosol is less than < 1, even more particularly <0.1 (in (dermatological) compositions). Thus, the extract may be obtained, for example, by a process comprising: treating olive leaf with aqueous liquid, and hydrolyzing oleuropein in the extract until the weight ratio of oleuropein to hydroxytyrosol is less than 1 (or even less), especially less than 0.1.
Thus, in a further aspect, the present invention also provides a method for the preparation of a (dermatological) composition comprising an olive leaf-derived material, the method comprising treating olive leaves with an aqueous liquid comprising an alcohol and providing an olive leaf extract, and optionally subjecting the (olive leaf) extract to hydrolysis (or more precisely, hydrolyzing oleuropein in the extract to hydroxytyrosol), and optionally combining the (hydrolyzed) olive leaf extract with a further compound, to provide the (dermatological) composition. The extract may be further processed by procedures known in the art, such as filtration, concentration, purification, pasteurization, drying, grinding, and the like. As indicated above, the further treatment may also specifically include hydrolysis of oleuropein (in the extract).
The algal-based extract herein is in particular a spirulina platensis extract (spirulina platensis (artrospira platensis) previously known as spirulina platensis). The algae are denoted as blue-green algae or blue-green algae, and are actually cyanobacteria. Cyanobacteria, in particular Spirulina platensis, are further denoted as algae herein. More particularly, the algal based extract is a highly concentrated total extract of the spirulina platensis species (see also below). Spirulina platensis secretes a variety of bioactive compounds during its growth. These compounds are called Extracellular Polymers (EPS) and appear to have antibacterial activity against e.coli (e.coli), s.aureus (s.aureus), s.epidermis, salmonella typhi (s.typhi), pseudomonas aeruginosa (p.aeruginosa), klebsiella pneumonia (k.pneumonia). Spirulina platensis secretes its material in the form of a sheath, slime or capsule, but little is known about their diversity, synthetic pattern, structure or properties. They prevent unwanted pathogens from binding to human cells, which reduces infection by bacteria. EPS, lipopeptides and tridecapeptides appear to have poor antifungal activity against candida. These compounds prevent candida from binding to human cells in infected areas where the formulation has been used. Tridecapeptide shows antifungal activity against candida albicans (c.albicans) and lipopeptides show antifungal activity against candida albicans, candida glabrata (c.glabrata) and candida krusei (c.krusei) (see also the following challenge experiment, which shows the antifungal and antibacterial activity of the algae-based extract). Spirulina platensis appears to have antiviral activity. The sulfated polysaccharide, known as spirulina polysaccharide calcium (calcium spirulan), was found to inhibit the replication of several enveloped viruses, including type I herpes simplex virus, measles virus, cytomegalovirus, mumps virus, influenza a, and HIV-I. Thus, the algae-based extract or algal mass may include polypeptides. The term "polypeptide" may also refer to a plurality of different polypeptides, such as lipopeptides and tridecapeptides. In particular, the algae-derived substance or the algae extract includes one or more of a polypeptide and EPS (extracellular polymeric substance). The polypeptide may comprise one or more of a lipopeptide and a tridecapeptide. The term "polypeptide" may also refer to oligopeptides. The term polypeptide compound may also be used in place of the term "polypeptide".
Non-exhaustive examples of polypeptides, particularly lipopeptides, are for example glycopeptide lipids (glycopeptoids), surfactins, iturins, engycins(s), polymyxins, daptomycin, syringomycins, anabaenolysin(s), helices, malynylamides(s), puwainaphycins(s), mitosamides(s), lobocylamides(s) and the like. Lipopeptides may refer to organic compounds of lipids and peptides. Non-exhaustive examples of tridecapeptides are e.g. tolybyssidin(s), such as tolybyssidin A, tolybyssidin B, etc. Tridecapeptide is an oligopeptide with thirteen amino acid residues. Alternatively or additionally, another example of a polypeptide, a tetradecapeptide, may also be present in the material of algal origin. Thus, the polypeptide may comprise one or more of a lipopeptide, a tridecapeptide. In particular, polypeptides include polypeptides having at least 10 peptides, such as tridecapeptide. Polypeptides, particularly lipopeptides, may be cyclic or acyclic, or a combination of cyclic and acyclic. The material of algae origin, in particular the algae extract, and thus the composition comprising material of algae and olive leaf origin, may in particular comprise at least lobocylamide and tolybyssidin.
In particular, as indicated above, spirulina platensis is employed as the algae source.
Such highly concentrated extracts may include 10:1 or greater extracts, such as 15:1 or greater, or even 20:1 or greater extracts. This indicates that the concentration of one or more of EPS and polypeptide is at least 10 times (or 15 or 20 times respectively) higher than in the original species.
The extract may be obtained, for example, by a method comprising treating algae with an aqueous liquid and providing an algae extract. Thus, in a further embodiment, the present invention provides said (dermatological) composition, wherein the material of algae origin is obtainable in particular by a method comprising treating algae with an aqueous liquid and providing an algae extract. Additionally, the aqueous liquid used for algae extraction may include an alcohol. The alcohol may in particular comprise a C2-C8, in particular C2-C6 alcohol, even more in particular ethanol. The extraction may be carried out at elevated temperatures, for example in the range of 20-100 c, especially 40-100 c.
Thus, in a further aspect, the present invention also provides a method for preparing a (dermatological) composition comprising an algae-derived material, the method comprising: treating algae with an aqueous liquid and providing an algae extract, particularly comprising at least a polypeptide, and optionally combining the algae extract with additional compounds to provide a dermatological composition. The extract may be further processed by procedures known in the art, such as filtration, concentration, purification, pasteurization, drying, grinding, and the like.
Usually, the extract is prepared separately, but optionally, olive leaves and algae may be combined and then the extraction is performed. As far as the preferred hydrolysis step of oleuropein of olive leaves is concerned, separate extractions of algae and olive leaves can generally be carried out.
Algae-derived material, particularly algae extract, and olive leaf-derived material, particularly algae extract, may be combined. The resulting (dermatological) composition may also comprise other components (see also below), which may be added during extraction, and/or during and/or after combining the algae with the olive leaf-derived material.
Thus, in a further aspect, the present invention provides a method for preparing a dermatological composition comprising materials of algae origin and olive leaf origin, the composition in particular comprising at least a polypeptide and hydroxytyrosol, wherein the method comprises: (i) treating algae with an aqueous liquid and providing an algae extract comprising polypeptides, (ii) treating olive leaves with an aqueous liquid further comprising in particular an alcohol and providing an olive leaf extract, (iii) combining the extracts, and optionally combining the extracts with further compounds, to provide a dermatological composition. As indicated above, the method may comprise hydrolysis of the olive leaf extract (or optionally a composition comprising the olive leaf extract).
Thus, the present invention provides, inter alia, a composition comprising at least: (i) a polypeptide, in particular a decapeptide, and (ii) hydroxytyrosol. Even more particularly, the present invention provides a dermatological composition comprising materials of algae origin and olive leaf origin, the composition comprising at least a polypeptide and hydroxytyrosol. As indicated above, the (dermatological) composition comprises in particular an algae extract and an olive leaf extract.
More particularly, the olive leaf extract is an olive leaf extract obtainable by extraction with a mixture of alcohol and water and hydrolysis of the extract, wherein the algal extract comprises an spirulina platensis extract obtainable by extraction with an aqueous liquid. In a still further embodiment, the weight ratio of oleuropein to hydroxytyrosol in the (skin) composition is less than 0.1. In particular, the (dermatological) composition (when comprising olive leaf-derived material) comprises hydroxytyrosol in an amount in the range of 0.01-1 wt. -% with respect to the total weight of the composition. Furthermore, in particular, the (dermatological) composition further comprises oleic acid, linoleic acid, palmitic acid, a polypeptide (in particular one or more of a lipopeptide and a tridecapeptide), phycocyanin and a lipid.
In particular, the (dermatological) composition is a dermatological composition for the treatment and/or prevention of a microbial infection of the skin. For example, the (dermatological) composition may in particular be a dermatological composition for the treatment and/or prevention of a skin infection or nail infection selected from nail fungus and athlete's foot. However, the (dermatological) composition may also be a dermatological composition for the treatment of wounds, such as a wound spray. In yet a further embodiment, the (dermatological) composition is a dermatological composition for the treatment of varicella (and /) or acne. It is clear to the person skilled in the art that the (same) dermatological composition may be used for different applications and may (thus) be suitable for different applications.
Herein, the term "dermatological" and similar terms refer in particular to hair, nails, skin, even more particularly to nails and skin. The dermatological composition is a composition suitable for application to the skin or nails. This term is known to the person skilled in the art. The (dermatological) compositions herein may be particularly applied to (used in) the treatment and/or prevention of diseases indicated herein, such as nail fungus, athlete's foot, acne, chickenpox, etc. Thus, the (dermatological) compositions herein may be used in prophylactic treatment.
Tinea pedis is a very common plantar and interpupillary skin infection, which is caused by fungal infection. Tinea pedis is also known as tinea pedis (tineas). The fungi most commonly causing tinea pedis are Trichophyton (Trichophyton) and Candida (Candida). When the feet or other areas of the body remain moist, warm, and become inflamed, the fungus can become vigorous and infect the upper layers of the skin. Ringworm (called tinea) causes tinea pedis. Tinea can be found in many places, including the floor of a gym, changing rooms, swimming pools, nail shops, airport security lines, and in socks and clothing. Fungi can also be transmitted directly from person to person, or by contact with such objects. Most people acquire fungi on their feet by walking barefoot in areas that other people with athlete's foot have walked. Some people are more susceptible to such environments, while others appear to be relatively immune to infection. However, proper growth conditions (warm, humid environment) are important for fungal infections of the skin. Up to 70% of people may have athlete's foot at some time during their lifetime. Some individuals are naturally more susceptible to relapse during their lifetime. Most individuals with athlete's foot have no symptoms at all, or are even unaware of the infection. Many people may think they are simply dry on the sole of their foot. Common symptoms of athlete's foot usually include a variety of different degrees of itching and burning. The skin may peel frequently and in particularly severe cases, there may be some cracking, pain and bleeding. Rarely, the athlete's foot may develop blisters (called bullous tinea pelagia). Most cases of athlete's foot are rarely noticed and have symptoms of only slightly dry, flaky skin. More extensive tinea pedis may appear red, with areas of desquamated and dry skin on one or both soles. Sometimes the dry skin pieces may spread to the sides and over the foot. Most commonly, the rash is located only on the sole of the foot. The space between the fourth and fifth toes may also have some wet, peeled and dry flaps. There are three common types of tinea pedis: "Moccasin" type (sole of the foot); an "Inter-digital" type (between toes); 3. inflammatory type or blistering.
Onychomycosis (OM) refers to a fungal infection affecting the toenails or fingernails. Onychomycosis may involve any component of the nail unit, including the nail matrix, nail bed, or nail plate. The primary fungi causing onychomycosis are Trichophyton rubrum and Trichophyton mentagrophytes. They are dermatophytes (fungi that infect hair, skin and nails), living as keratinized (nail) tissues. Their infections are usually limited to the nails, but occasionally spread to the surrounding skin. Onychomycosis has been reported to occur at a rate of 2-13% in north america. Onychomycosis accounts for half of all nail disorders, and it is the most common nail disease in adults. Toenails are more susceptible to infection than fingernails. Thirty percent of patients with dermatophyte infections also have onychomycosis. The incidence of onychomycosis has been increasing due to factors such as diabetes, immunosuppression, and age. Studies in the uk, spain and finland have found that onychomycosis is present at a prevalence of 3-8%. Onychomycosis prevalence is higher in patients with HIV (25%). Several studies have shown that the prevalence of onychomycosis increases with age, which may be due to poor peripheral circulation, diabetes, repeated nail trauma, longer exposure to pathogenic fungi, suboptimal immune function, laziness or inability to clip the toenails, or maintenance of better foot care. Onychomycosis is clinically classified into distal lateral onychomycosis (DLSO), superficial onychomycosis albus (SWO), proximal onychomycosis (PSO), candida onychomycosis, and dystrophic onychomycosis. DSLO accounts for most cases, which are almost always caused by dermatophyte infections. It infects the hyponychium, initially usually at the lateral margins, and spreads proximally along the nail bed causing hyperkeratosis and nail stripping under the nail, although the nail plate is not initially infected. DLSO can be confined to one side of the nail, or spread laterally to involve the entire nail bed, and continues to develop until it reaches the posterior nail folds. Eventually the nail plate becomes brittle and may break, usually due to trauma, although nail destruction may be associated with nail plate invasion by dermatophytes with keratolytic properties. Examination of the surrounding skin almost always shows signs of tinea pedis. Toenail infections are almost an inevitable precursor to fingernail skin mycoses (dermatophygosis) which have a similar clinical appearance, although nail thickening is not common. PSO without evidence of paronychia is an uncommon type of dermatophyte infection commonly associated with episodic disease. Immunosuppressed patients, particularly those positive for human immunodeficiency virus, may present with this type of dermatophyte infection; disorders such as peripheral vascular disease and diabetes may also exist in this manner. Thus, signs of intercurrent morbidity should be considered in patients with PSO. Infection of the nail organs by candida can be manifested in one of four ways: (i) chronic paronychia with secondary nail dystrophy; (ii) distal nail infection; (iii) chronic mucocutaneous candidiasis; and (iv) secondary candidiasis. Chronic paronychia in fingernails usually occurs only in patients with a moist profession. Following chronic water immersion or swelling of the nail folds which may occur due to allergies to certain foods, the epidermis (cuticle) becomes detached from the nail plate and loses its watertightness. Microorganisms, both bacteria and fungi, enter the subcutaneous space, causing further swelling of the posterior nail folds and further epidermal detachment, i.e., the vicious circle. Infection and inflammation in the nail matrix area ultimately leads to proximal nail dystrophy. Distal nail infections with candida are uncommon and essentially all patients have Raynaud's phenomenon (Raynaud) or some other form of vascular insufficiency. It is unclear whether the nail-stripping was caused by a potential vascular problem as an initial event or by yeast infection. Although candida onychomycosis cannot be clinically definitively distinguished from DLSO, the absence of toenail involvement and often to a lesser extent excessive hypothyroidism are useful diagnostic features. Chronic mucocutaneous candidiasis has a multi-factorial cause leading to cell-mediated immunity reduction. Clinical signs vary with the severity of immunosuppression, but in more severe cases, severe thickening of the nail occurs, progressing to candida granulomas. In such cases mucosa is almost always involved. Secondary candidal onychomycosis occurs in other diseases of the nail organs, most notably psoriasis. Onychomycosis is not fatal, but it can cause pain, discomfort and disfigurement, and can create serious physical and occupational limitations. The psychosocial and emotional effects caused by onychomycosis are extensive and may have a significant impact on quality of life.
Chickenpox is a viral infection in which a person develops a very itchy blister throughout the body. It is caused by varicella-zoster virus, a member of the herpes virus family. Chickenpox can be easily transmitted from one person to another. Chickenpox can be obtained by touching fluid from the chickenpox blister, or if the patient coughs or sneezes nearby. Patients with mild symptoms of the disease may also be infectious. People with chickenpox become contagious 1-2 days before the blisters appear, and infectivity remains until all blisters scab completely. In most cases, chickenpox occurs in children younger than 10 years of age, and in temperate climates of the northern hemisphere, chickenpox occurs mainly in the period from late winter to early spring. The rate of secondary invasion in susceptible family exposure reaches nearly 90%. Once an example occurs in a susceptible population, it is difficult to prevent outbreaks. Almost everyone has experienced the disease. Most children with chickenpox have the following symptoms before the rash appears: (1) generating heat; (2) headache and (3) stomachache. Varicella skin rash appears about 10-21 days after contact with a person suffering from the disease. An average of 250 to 500 small, itchy, fluid-filled blisters and/or red spots form on the skin of the child. The most likely location of the blister is the face, middle of the body, or scalp. Most blisters do not leave scars unless they are infected with bacteria. This may be caused by scratching due to itching. Current treatments are based on topical antiseptics or menthol-based anti-itch powders. Topical antiseptics aim at eliminating bacteria by using biocidal ingredients. Thus, the treatment is classified as drug/biocide. Antipruritic powders do not provide bacterial-directed therapy or promote wound healing. It is based solely on symptom relief and reduction of itching. These kinds of treatments are classified as drugs or medical devices.
Acne vulgaris (acne) is one of the most common human skin diseases worldwide, characterized by areas of skin with seborrheic dermatitis, comedones, papules, pustules, nodules, and possibly scars. Most of which affect the facial area, but may also appear on the upper chest and back. Bacteria play a role in exacerbating acne by growing in clogged, oily sebaceous gland pores and causing an inflammatory response. Propionibacterium acnes (Propionibacterium acnes) and Staphylococcus epidermidis (Staphylococcus epidermidis) are the major colonizing strains. Existing treatments for mild forms of acne include killing propionibacterium acnes with antiseptics such as benzoyl peroxide and oral or topical antibiotics, all of which indiscriminately kill many bacterial species and upset the normal balance of skin microflora. The long term use of antibiotics also results in resistant strains of propionibacterium acnes. Healthy skin pores consist of sebaceous glands that secrete a suitable amount of sebum, oily substances that lubricate hair follicles, and the skin itself. Sebum production is regulated by hormones. When hormones are disturbed, excess sebum may clog pores, and bacteria normally living on the skin surface may spread into sebaceous gland pores and multiply, causing further inflammation. The resulting bacterial spread and inflammatory response triggered in pores are responsible for the severity of acne ultimately.
Use in wound therapy may in particular involve small wounds such as (small) cuts, (small) burns and insect bites. The compositions may also be used to treat abrasions (wounds) or small burns (wounds). In particular, the wound to be treated represents less than 5%, in particular less than 1%, of the total surface area (TBSA) of the body (meaning a single or compact wound). The compositions of the invention may prevent scarring, may provide a soothing effect on contact, may prevent bacterial infection, and/or may alleviate pain or discomfort (reduce the risk of infection).
It has surprisingly been shown that the (dermatological) composition may in particular be a (dermatological) composition for the treatment and/or prophylaxis of one or more of pseudomonas aeruginosa, staphylococcus aureus, candida albicans, aspergillus brasiliensis (a.brasiliensis) and enterococcus hirae (e.hirae). The composition is effective in eliminating, or at least substantially reducing the number of, these bacteria when applied to the skin, including skin wounds. For this reason, the composition may be, inter alia, a dermatological composition for (i) treating and/or preventing one or more of nail fungus and athlete's foot, and/or (ii) treating one or more of wounds, chicken pox and acne.
The composition may be obtained in the form of, for example, a liquid, foam, cream, paste, powder, and the like. Thus, especially the compositions are topical compositions, such as creams, foams, gels, lotions and ointments. The composition may be applied in different ways, e.g. as a spray, cream, stick, pen, etc. Further, the composition may also be obtained as a coating or impregnation material in or on a bandage, a patch, a plaster, such as an adhesive bandage or a wound dressing or the like. See also below for further information on the applicator.
Additionally, the compositions described herein, particularly the (dermatological) compositions comprising algae-derived and olive leaf-derived materials, may comprise other ingredients not derived from algae and/or olive leaves.
For example, the composition may further comprise one or more excipients. Excipients are in particular inactive substances formulated with the active ingredient of the product (which can be found in materials of algal and/or olive leaf origin) or with the drug, with the aim of making the formulation containing such active ingredient bulky. Excipients may also be represented, for example, by fillers or diluents. Excipients may include, for example, one or more of binders, coating agents (coatings), disintegrants, fillers, flavoring agents, coloring agents, lubricants, glidants, sorbents, preservatives, sweeteners, and the like.
The composition may also include, for example, silk fibroin (silk fibrin). Silk fibroin is a protein derived from the hydrolysis of silk fibers, which is naturally secreted by the filamentation behavior of the silkworm (Bombyx mori). Silk fibroin has a wide variety of applications in the biomedical field, which can be attributed to its high tensile strength, controlled biodegradability, non-cytotoxic, low antigenic and non-inflammatory properties. The use of silk fibroin extracts can aid the healing process in the regeneration and repair of normal and functional nail tissue. The composition may also include pentanediol. Pentanediol was used as a humectant. It is a colorless liquid, has minimal odor, and is soluble in both water and oil. Due to its unique molecular properties, including a well separated charge distribution profile, pentanediol performs its moisturizing activity much better than the other comparable compound, namely propylene glycol. The composition may also include dimethyl isosorbide. Dimethyl isosorbide is a delivery promoter that is able to place the active ingredient where it is most needed, and therefore it is used as a penetration system for the keratinous nail layer. Dimethyl isosorbide is a colorless liquid with excellent solvent properties. It enhances the delivery of the active substance in the upper layers of the epidermis without promoting the entry of the product into the bloodstream. Moreover, dimethyl isosorbide improves the stability of the formulation, even those that are susceptible to hydrolysis and transesterification reactions. One or more of silk fibroin, pentanediol, and dimethylisosorbide esters may be particularly applied to compositions for the treatment and/or prevention of nail fungi. For example, they may be used in nail (fungal) pens.
The composition may also comprise, for example, urea (carbamide). Urea is a compound of the formula CO (NH)2)2The organic compound of (1). Creams containing urea are well known and are used as topical skin products to promote rehydration of the skin. It has further been shown that urea can be indicated for psoriasis, xerosis, onychomycosis, ichthyosis, eczema, keratosis, keratoderma, corns and calluses. Its use, for example in the treatment and/or prevention of athlete's foot, for example in an athlete's foot pen, may be intended as a moisturizer of dry skin infected with athlete's foot. The composition may also include, for example, allantoin. Allantoin is a compound of formula C4H6N4O3The compound of (1). It is also known as 5-ureidohydantoin or ureidohydantoin. Which is the diurea of glyoxylic acid. It is used for moisture retention because it increases the water content of the extracellular matrix. It also enhances detachment of upper dead skin cells, helping the damaged skin to heal more quickly. The composition may also include, for example, panthenol. Panthenol is an alcohol analog of pantothenic acid (vitamin B5), and thus is provitamin for B5. It is rapidly oxidized to pantothenate in the organism. Panthenol can be used as a humectant, emollient and moisturizer in the treatment and/or prevention of, for example, athlete's foot, such as in an athlete's foot pen (and/or athlete's foot spray). One or more of urea, allantoin and panthenol may be particularly applied in compositions for the treatment and/or prevention of athlete's foot, for example in an athlete's foot pen (and/or athlete's foot spray).
The composition may also include, for example, glycerin. Glycerol (or glycerin) is a polyol compound. It is a colorless, odorless, viscous liquid that is widely used in pharmaceutical formulations. Glycerol has three hydroxyl groups, which contributes to its solubility in water and its hygroscopicity. The backbone of glycerol is the center of all lipids known as triglycerides. Glycerin has a sweet taste and low toxicity glycerin is mainly used as a means of improving smoothness (in pharmaceutical and personal care formulations) to provide lubrication and as a humectant. Glycerol may be particularly applied in compositions for the treatment and/or prevention of athlete's foot, for example in an athlete's foot spray (and/or athlete's foot pencil).
The composition may also include, for example
Figure BDA0001023854010000121
The composition may further comprise one or more of zinc oxide, menthol, Bisalol, paraffin, laureth-9 (laureth-9), pentanediol (pentalene glycol), polyglycerol-3 methyl glucose distearate and citric acid.
Figure BDA0001023854010000122
Is a polymeric emulsifier which has the ability to absorb oil and water, thus forming a very stable oil-in-water emulsion. Zinc oxide is a white opaque pigment that prevents bacterial growth and provides UV protection. Menthol can provide a cooling effect, which distracts from itching. The composition is also effective for reducing sunburn due to the cooling effect, for example when used as a spray. Bisalol can be used as a modulator with soothing and anti-irritant properties to accelerate wound healing. Laureth-9 is an emulsifier having antipruritic properties, and liquid paraffin can be used as a lubricant; both ingredients calm, soften and protect the skin. Pentanediol is a humectant that promotes the natural healing process. Polyglycerol-3 methyl glucose distearate can be used as an emulsifier, which forms stable emulsions with all common fats and oils. Citric acid is a natural preservative used to lower pH. One or more of zinc oxide, menthol, bisalol, paraffin, laureth-9, pentanediol, polyglyceryl-3-methyl glucose distearate and citric acid and/or
Figure BDA0001023854010000131
Can be used in particular in a composition for the treatment of wounds (and /) or chickenpox, for example in a wound spray or a chickenpox spray.
In a still further aspect, the present invention provides a (dermatological) composition comprising (at least): (1) a material of cyanobacteria (or cyanobacteria) origin and (2) a material of olive leaf origin, the composition comprising in particular at least a polypeptide and hydroxytyrosol. It was surprisingly found that the combination of a material of cyanobacteria origin (comprising inter alia in particular a beneficial polypeptide) and a material of olive leaf origin (comprising hydroxytyrosol with beneficial properties) provides a synergistic effect, showing an effectiveness against microorganisms such as bacteria which cannot be (well) treated with the algae composition or the olive leaf composition alone. In particular, the cyanobacteria include Spirulina platensis. Thus, the algae-derived material or algae extract may comprise a Spirulina platensis-derived material or a Spirulina platensis extract, respectively. Other cyanobacteria may also be of interest.
The present invention also relates to an applicator comprising a composition as defined herein. The applicator is in particular a device having a container containing a composition as described herein, in particular further configured to release a portion of the composition upon user action such as sweeping or pressing the composition access means of the applicator against the skin, or spraying the composition with a spray applicator. Thus, in one embodiment, the applicator is a spray applicator and the composition is in a liquid state in a container comprised by the applicator. In an embodiment, the spray applicator may comprise an aerosol powder spray (applicator). Other applicators may include rollers on the applicator. In yet another embodiment, the applicator is a pen applicator and the composition is a topical composition, such as a cream, foam, gel, lotion, and ointment. Other options are also possible, such as pastes or powders. The pen applicator may in particular be a point pen (applicator). Also, the composition may be included in a tube. Accordingly, there is also provided a tube comprising a composition as described herein.
The term "substantially" herein, such as "substantially free of" or "consisting essentially of … …," will be understood by those skilled in the art. The term "substantially" may also include "entirely," "completely," "all," and the like. Thus, in embodiments, the adjective "substantially" may also be removed. The term "substantially" may also relate to 90% or more, such as 95% or more, particularly 99% or more, even more particularly 99.5% or more, including 100%, if applicable. The term "comprising" also includes embodiments in which the term "comprising" means "consisting of … …. The term "and/or" especially relates to one or more of the items mentioned before or after "and/or". For example, the terms "item 1 and/or item 2" and similar terms may refer to one or more of item 1 and item 2. The term "comprising" may mean "consisting of … …" in one embodiment, but may also mean "comprising at least the defined species, and optionally one or more other species" in another embodiment.
Moreover, the terms first, second, third and the like in the description and in the claims, are used for distinguishing between similar elements and not necessarily for describing a sequential or chronological order. It is to be understood that the terms so used are interchangeable under appropriate circumstances and that the embodiments of the invention described herein are capable of operation in other sequences than described or illustrated herein. The devices herein may be described in operation, among others. As will be clear to a person skilled in the art, the invention is not limited to the method of operation or the apparatus in operation. It should be noted that the above-mentioned embodiments illustrate rather than limit the invention, and that those skilled in the art will be able to design many alternative embodiments without departing from the scope of the appended claims. In the claims, any reference signs placed between parentheses shall not be construed as limiting the claim. Use of the verb "comprise" and its conjugations does not exclude the presence of elements or steps other than those stated in a claim. The article "a" or "an" preceding an element does not exclude the presence of a plurality of such elements. The mere fact that certain measures are recited in mutually different dependent claims does not indicate that a combination of these measures cannot be used to advantage. The invention also relates to methods or processes comprising one or more of the characterising features described in the description. The various aspects discussed in this patent can be combined to provide additional advantages. Furthermore, some features may form the basis of one or more divisional applications.
Detailed Description
Hereinafter, the first embodiment and examples are described with respect to use in the treatment of athlete's foot. However, the following embodiments and examples are not limited to athlete's foot applications only. Embodiments and examples are described with particular reference to pens. This is an applicator having a tip (the composition access means of the applicator) that releases the composition when in contact with the skin. This may for example be due to the fact that the composition adheres to the skin. However, the present invention is not limited to this applicator embodiment.
For example, the tinea pedis pen is a product for treating and preventing tinea pedis without side effects of pharmacological products that may cause irritation and contact dermatitis. The tinea pedis pen is intended to treat inter-toe fungal infections, among others. The applicator is adjusted to the product purpose; the solution can be applied accurately to the affected area between the toes. The formulation in the tinea pedis pen appears to form a physical film layer on the skin, which prevents further spread of the fungus between the toes. The physical layer comprising the compositions described herein can establish a harmful environment for the fungus, which results in growth inhibition and successful elimination of the pathogenic fungus.
One in vivo test and two in vitro tests for evaluating the efficacy of tinea pedis pens have been completed. The efficacy of the tinea pedis preparation was evaluated in an in vivo test. The objective of the study was to assess the appearance of athlete's skin after 4 weeks of treatment based on the visual skin improvement compared to the starting point. The study was conducted under the supervision of a skin specialist belonging to the largest dermatological center in europe. A total of 23 subjects with athlete's foot were enrolled in the study. The treatment is carried out with the formulation in the affected area. Subjects were instructed to use the tinea pedis preparation twice a day, morning and evening, for a period of 4 weeks. Subjects were instructed to carefully clean and dry the infected area prior to applying the tinea pedis product to the skin, for 1 minute to ensure good penetration through the entire infected epidermis. The test area was visually characterized and the subjects were interviewed for their feelings.
No unexpected events occurred. All subjects completed the study accurately and completely. The results contained the opinion of the dermatologist and the assessment of the patient. After one week, the patient observed an improvement in the skin environment of the feet: the skin irritation is reduced, the inflammatory area between the toes is significantly reduced, and the foot as a whole looks healthier. After four weeks of treatment, the treated skin showed significant improvement, with 68% of volunteers being cleared of symptoms associated with tinea pedis. Bacteria and fungi are eradicated from the epidermis of the subject. A total of 83% of subjects indicated satisfaction with the product. The findings of this study indicate that the formulation of tinea pedis is effective and safe in treating moderate to severe tinea pedis. In all subjects, the tinea pedis preparation provides a clear efficacy in improving the visual appearance of the treated skin compared to the starting point. The subjects described the positive effects of the product. The subject did not experience any side effects in the treatment. These encouraging findings indicate that the tinea pedis product can be used in an effective tinea pedis treatment regimen.
The olive leaf extract and the algae extract were simultaneously tested for antimicrobial activity against the bacteria staphylococcus aureus, as well as the fungi candida albicans and aspergillus brasiliensis during the challenge test. The amount of pathogen was determined at baseline (0 hours). Then, olive leaf extract and algae extract are added to the colony forming unit. Finally, after 24 hours, the amount of pathogen in the colony forming unit was determined again. Olive leaf extract showed a reduction in staphylococcus aureus. The algae extract was shown to reduce staphylococcus aureus, candida albicans and aspergillus brasiliensis. In other words, olive leaf extract shows antibacterial activity, while algae extract shows antibacterial and antifungal activity. These results are shown below.
Results of laboratory challenge tests
Figure BDA0001023854010000161
1-the count of the inoculum,2CFU-colony Forming Unit
Figure BDA0001023854010000162
Figure BDA0001023854010000171
1-the count of the inoculum,2CFU-colony Forming Unit
The combination of the two products showed enhanced efficacy against bacteria and fungi. This combination was effective for all bacteria and fungi tested.
Figure BDA0001023854010000172
1-the count of the inoculum,2CFU-colony Forming Unit
Treatment was well tolerated in all studies evaluated. It was observed that the olive leaf extract and the algae extract did not cause irritation or complaints from patients. Another aspect examined in this evaluation is the safety of the excipients used. It was concluded that the composition for use on infected foot skin (athlete's foot) was safe in terms of the content of all other components in the formulation.
Comparable products available on the market for the treatment and prevention of tinea pedis have the strong drawback of containing ingredients that do not mechanically work on the fungal infected skin. The composition and application device of the present invention, such as a tinea pedis pen, is the first such product to effectively treat and prevent tinea pedis without any known side effects and to exert its efficacy without pharmacological, immunological or metabolic means. It can be concluded that the ingredients in the tinea pedis pen can be used efficiently as a topical treatment for feet infected with tinea pedis (tinea pedis). The tinea pedis pen preparation having the olive leaf extract and the algae extract is effective in inhibiting growth and eliminating dermatophytes causing tinea pedis as confirmed by laboratory microbiological studies and preliminary data on ongoing preclinical internal studies of patients infected with tinea pedis.
Embodiments and examples are described below with respect to use in nail fungus treatment. However, the following embodiments and examples are not limited to nail fungus applications only. Embodiments and examples are described with particular reference to pens. This is an applicator having a tip (the composition access means of the applicator) that releases the composition upon contact with the nail. This may for example be due to the fact that the composition adheres to the nail. However, the present invention is not limited to this applicator embodiment.
In particular, nail pens are, for example, two-piece rigid pens with disposable cellulose tips containing liquid formulations intended for application to fungal infected nails to treat onychomycosis and restore normal nail tissue. The liquid preparation of nail pen comprises olive leaf extract, algae extract, silk fibroin extract, pentanediol and dimethyl isosorbide ester. The average volume of the filled pens was 4ml and the total weight of the pens was about 19g (appendix-B, Table 1-qualitative and quantitative composition of the nail pen). The nail pen risk was classified as a medical device according to article 4, clause 3 of the medical instrument guide attachment IX. Such classification means that the product belongs to all non-invasive devices of class IIa which come into contact with wounded skin. Nail pens are only applied directly on the affected nails. In particular, the nail pen should be applied twice a day to the onychomycosis nail area for a period of 30 days. In the case of persistent infections, it is recommended to consult general practitioners for other treatment regimens. If taken as instructed, the label states that the nail pen is specifically intended to (i) treat and prevent onychomycosis; (ii) (ii) resistance to yeast infection and (iii) maintenance of nail health.
One clinical in vivo study demonstrated the efficacy of nail pens, which are medical devices applied topically to treat and prevent fungal infections of the nails, containing olive leaf extract and algae extract as active pharmaceutical ingredients.
A total of fifty volunteers of both sexes were selected and subsequently included into the study. Ages range from 18-65 years, and at least one of their toes is subject to distal or lateral onychomycosis. Only onychomycosis involving 50-100% of the nail plate is included. All volunteers read the free and interpreted consent and signed before the study began. Prior to the start of the study, all patients were subjected to a direct fungal examination and sampled to determine the cause of onychomycosis. The nail area was cleaned with an ethanol spray, nail fragments were clipped off and collected in a sterile centrifuge tube. Between each sample, the trimmer was wiped with 70% ethanol. At least two fragments were collected from each nail.
One fragment was used for microscopic examination with KOH formulations to identify fungal structures. The other fragment was used for culturing in Bacto agar (Becton Dickinson), trehalose agar (BBL). The isolated strains were subjected to microscopic analysis. All microbiological analyses were done by certified laboratories. They only entered the study when the test for onychomycosis was positive and the volunteers were confirmed to be eligible. For each individual volunteer an initial assessment questionnaire was filled out by the main investigator, which was taken as a parameter for treatment evaluation.
The volunteer received a nail pen and instructions on how to use the pen. Volunteers were instructed to carefully file the top of the infected nail once a week before applying the nail pen. Nail pens containing olive leaf extract and algae extract were used twice daily in the morning and evening for a period of six weeks. Nail pens need to be applied to the entire nail plate and left to dry for one minute. Symptoms of onychomycosis disappeared before the study ended, and the volunteers were asked that once daily treatment should be continued to prevent reinfection.
After 28 days, the efficacy was assessed by fungal examination and culture to determine the reduction of pathogenic organisms. At the end of the study, the nails of the volunteers were evaluated and the final measurements were performed. The primary efficacy variable was treatment success, which was defined as clinical improvement of complete nail health and fungal healing (negative culture).
A total of 50 patients successfully completed the study. Of these 50 patients, 21 were male (42%), 27 were female (54%), and both were not sexed (4%). All volunteers were between 18-65 years of age. Nail material was collected at the beginning (t-0), middle (t-28 days) and end (t-42 days) of the study. Initial tests showed that the main pathogenic organism was candida, with 7 patients (14%) having concomitant paronychia (caused by staphylococcus (staphylococi) and streptococcus (streptococcus) infection). In the case of 5 patients (10%), the type of fungal strain was not identified, which was suspected to be one of the most common onychomycosis-causing dermatophytes.
Throughout the treatment period, patients were asked to record diaries relating to treatment and improvement. Significant improvement in the nail environment was observed for the patients: the stimulation of the crescent area is reduced and the inflammatory area in the nail bed and proximal and lateral nail folds is significantly reduced. In general, the volunteers were very positive for product performance and no adverse side effects were reported. In the evaluation 41 patients (82%) claim a high degree of product satisfaction. Most volunteers experienced relief after one week of treatment and observed an improvement in nail structure.
After six weeks, the study was complete. Nails were clipped off and sent for microbiological analysis. The nail had a better shape and no redness or irritation around the nail epithelium was observed. Improved hardness and strength of the patient's nail was observed. Moreover, 43 patients (86%) were shown to have onychomycosis cleared from their nails. Microbiological results of the remaining 7 patients (14%) still had moderate levels of candida infection. In the case of two patients with concomitant paronychia, the bacterial infection was completely cleared. The area of the crescent nail epithelium returns to its natural color, the proximal and lateral nail folds are less painful, and exhibit reduced levels of inflammation.
Fifty volunteers were asked to complete the questionnaire. Onychomycosis does not occur for the first time in forty of fifty volunteers. They developed diseases and sought medical advice prior to the study. Some of them are successfully treated by other treatments that are persistent and sometimes associated with associated side effects. Therefore, these patients are eager to try alternative treatments. Most of them: thirty of the fifty patients have a medical history of up to two years. Twenty patients (40%) have a medical history longer than two years, and five patients (10%) have a medical history of almost five years. Almost all volunteers stated the overall satisfaction of using the product. Most of them recommend this product. No side effects have been reported.
Of a total of fifty volunteers with onychomycosis, seven cases (14%) were accompanied by paronychia (bacterial infection), five patients (10%) had unknown fungal infection, and the nails of these fifty volunteers were treated for six weeks with a fingernail pencil containing olive leaf extract and algae extract. Within one week, most volunteers observed a significant difference in nail condition. At the end of the study, 86% of patients were cleared of onychomycosis and all (7) patients with paronychia were found to no longer have evidence of bacterial infection. The remaining seven patients (14%) showed a reduction in the level of pathogenic organisms. However, onychomycosis is not completely cured. The reason is presumably a prolonged history, whereas the elimination of onychomycosis requires a longer treatment time. All volunteers showed a high overall satisfaction with the product and if there was such an opportunity to use the nail pen again. No side effects have been reported. In conclusion, this in vivo efficacy study showed that the nail pen comprising olive leaf extract and algae extract was effective against a broad spectrum of fungi and bacteria. The patient observed an improvement in nail appearance within the first week of treatment. Therefore, the nail-pencil provides a quick and effective alternative treatment for onychomycosis compared to other products already on the market.
In laboratory tests, nail pen formulations were evaluated for efficacy against different yeast and bacterial growth. The different strains tested were: candida albicans, pseudomonas aeruginosa, staphylococcus aureus and enterococcus shila. Cultures of each strain were prepared and cell number/ml was determined. The concentration was adjusted to 102-103 cfu/ml. The strain was then suspended in buffered peptone water. 9ml of each strain was added to 8 sterile tubes. To each tube 1ml of the formulation was added. The formulations were filter sterilized with a pre-sized 0.22um filter before adding the formulation to each strain. The samples were stored at 25 ℃ for 96 hours. As a negative control, a preparation containing no microorganism was used. After 96 hours of incubation, samples were taken to determine the amount of cells, which were analyzed by aerobic plate counting in accordance with ISO 4833. The results show that the nail pen formulation comprising 0.4% olive leaf extract is able to inhibit and kill all considered microorganisms, thereby demonstrating its efficacy as an antifungal and antibacterial agent.
Treatment was well tolerated in all studies evaluated. It was observed that the olive leaf extract caused no irritation or complaints from the patients. In addition, as an all natural product, the opinion of the evaluator is that no unknown or serious effect has been found yet.
Another aspect examined in this evaluation is the safety of the excipients used. The conclusion is that the nail pen composition is safe for use on the nail in terms of the content of dimethyl isosorbide and pentanediol.
The nail pens have been tested for clinical efficacy against in vitro activity of different fungal and bacterial strains compared to other available products. The effect of the nail pen formulation relative to the competitive product has been tested on cultures of the following species: (i) candida albicans; (ii) pseudomonas aeruginosa; (iii) (iii) enterococcus shilata and (iv) staphylococcus aureus.
Efficacy experiments were designed as follows: (1) positive control: bacteria that grow without the addition of any formulation; (2) negative control: samples of nail pens (of the invention), ref.m1, ref.ds1 and ref.n1, were grown in culture medium (for possible contamination); (3) 9ml was used per strain and 1ml of the formulation was tested; (4) to each tube 1ml of the formulation was added. The samples were stored for 96 hours with Pseudomonas (Pseudomonas), Staphylococcus and enterococcus hirae at 37 ℃ and Candida at 25 ℃. After 96 hours, samples were taken to determine the amount of cells. It was analyzed by aerobic plate enumeration in compliance with ISO 4833 (by enumerating colonies ═ cfu/ml).
From the data thus obtained, it was concluded that nail pens, ref.n1 and ref.ds1 were effective on all tested microbial species within 96 hours. Nail pens are somewhat more efficient than ref.n1 in inhibiting the growth of candida albicans. M1 has no antimicrobial effect within 96 hours. Although both nail pens and ref.n1 are highly effective in inhibiting microbial and fungal growth, ref.n1 contains tea tree oil and lavender oil, which have been reported to have a systemic effect. Therefore, ref.n1 should not be used in children, pregnant women or lactating women. Ds1 has also been shown to be effective in inhibiting the growth of fungi and bacteria that may infect nails. These results are expected because ref.ds1 is formulated with harsh chemicals that may cause severe side reactions, such as severe skin blisters or irritation. Nail pens have no reported side effects, thus making them a very effective and safer product for the treatment and prevention of onychomycosis.
Hereinafter, embodiments and examples are described with respect to use in varicella treatment. However, the following embodiments and examples are not limited to the use of chicken pox only. Embodiments and examples are described particularly with respect to sprays. However, the present invention is not limited to such applicator embodiments.
Varicella spray (vacuum spray) is classified as a medical device. A medical device is a product used for medical purposes in patients, in diagnostics, therapy or surgery. If applied to the human body, the medical device is primarily physical in nature, as opposed to exerting pharmacological, immunological, or metabolic effects on the drug. The vacuum spray applicator allows for the broad distribution of micro-droplets of the liquid formulation over the affected skin surface without contacting the infected blister. Chickenpox sprays are designed as topical medical devices that form a protective physical layer on the skin that acts as a barrier, providing a cooling sensation that reduces itching. The physical layer allows small wounds to remain moist, which promotes healing of the wound. The preparation contains active ingredients olive leaf extract and algae extract, which inhibit bacterial growth by establishing an environment harmful to bacteria that easily grow in wounds scratched by itching. By preventing bacterial infection, scarring caused by infected small wounds is prevented.
The biocompatibility results indicate excellent safety. Varicella spray has better tolerance. Studies have shown that the benefit/risk ratio of the product and its components is positive. No known side reactions were found. The evaluations conducted showed that the product was safe and effective and satisfied its intended target as a medical device. The product is implemented according to its annotated statements. Based on the above evidence, the following statements were made by varicella spray: (i) treating itching and wound caused by varicella; (ii) treating and preventing secondary infection caused by scratching; and (iii) prevention of scarring caused by secondary infection.
Embodiments and examples are described below with respect to use in acne treatment. However, the following embodiments and examples are not limited to the application to acne only. Embodiments and examples are described in particular with respect to creams.
Acne creams can be used in therapy, for example, in combination with a cleanser. The acne cream comprises a composition described herein. The product is effective against the causative factor of acne, thereby preventing scarring, and is an excellent skin conditioner.
For acne creams, an applicator with a cream pump may be used.
In the following, the first embodiment and examples are described with respect to use in wound spray therapy. However, the following embodiments and examples are not limited to wound applications. Embodiments and examples are described particularly with respect to sprays. However, the present invention is not limited to this applicator embodiment.
Wound sprays are classified as medical devices. A medical device is a product used for medical purposes in patients, in diagnostics, therapy or surgery. If applied to the human body, the medical device is primarily physical in nature, as opposed to drugs that exert pharmacological, immunological, or metabolic effects.
The composition appears to form a physical layer that provides a flexible barrier with a humid environment. The algae extract and olive leaf extract in the layer create an environment that is harmful to bacteria. The unique aspect of wound spray is that it has no side effects and does not affect the immune system. The product is safe and effective and is the first alternative to traditional pharmaceutical approaches using antibacterial and topical corticosteroid drugs. Bandages with hydrocolloid technology only wet the wound and have no effect on inflamed skin whereas the composition of the present invention has an effect on inflammation. The effectiveness and safety of the product are proved by clinical evaluation and in vivo test.
Vacuum spray applicators allow for the wide distribution of microdroplets of a liquid formulation over the wounded skin surface. Wound sprays are designed as topical medical devices that form a protective physical layer on the skin that acts as a flexible barrier to protect it from unwanted external contaminants and bacterial colonies, thereby protecting the wound from adverse effects. Furthermore, the active ingredients in the physical layer create an environment that is harmful to bacteria. The formulation comprises olive leaf extract and algae extract active ingredients, which inhibit bacterial growth. Moreover, the wound spray prevents scarring, is determined to relieve skin irritation, and treats minor cuts, burns, and insect bites.
Preferred applications may include the following: in the case of skin injuries, the skin is carefully cleaned, while in the case of burn wounds, the skin is cleaned with warm water only. Sprayed from a distance (5-10cm) onto damaged and/or irritated skin. If necessary, massage the solution on the wounded skin. Two to three times a day or as often as needed. The treatment is repeated until the damaged and/or irritated skin heals. If there is no improvement within seven days, counseling with a health professional is advised. Wound sprays are used only for topical application.
Embodiments for producing the algal extract may advantageously comprise the steps of: (1) providing an algal feedstock, particularly Spirulina platensis; (2) extracting with water one or more times; (3) in case more than one extraction is performed, the filtrates are combined; (4) alcohol precipitation; (5) condensing; (6) and (5) filtering. Embodiments for producing the olive leaf extract may advantageously comprise the following steps: (1) providing olive leaves, in particular olive leaves; (2) extracting with solvent (alcohol + water); (3) filtering; (4) optionally condensing; (5) hydrolyzing; (6) purifying with organic solvent; (7) optionally pasteurizing for at least 2 minutes; (8) drying; and (9) optionally grinding.
Analysis of embodiments of the composition showed the presence of at least the following ingredients:
-polyphenols: hydroxytyrosol; p-hydroxyphenyl ethanol
-fatty acids: oleic acid; linoleic acid; palmitic acid; elemi alkyd (elenolic acid)
-a peptide: lipopeptides and/or tridecapeptides (chain of 10 peptides), among others; comprises substantially all of the essential amino acids;
-phycocyanin: (pigment proteins, but also antioxidant and anti-inflammatory properties);
-Spirulina polysaccharide calcium (sulfated polysaccharide) antiviral Activity
-a lipid.
An analysis was performed on an embodiment of an extract of algae (Spirulina Platensis, previously known as Spirulina Platensis): peptides (including lipopeptide/tridecapeptide, chain of 10 peptides); phycocyanin; spirulina polysaccharide calcium (sulfated polysaccharide) antiviral activity; a lipid.
Analysis of an embodiment of olive leaf extract: polyphenols (hydroxytyrosol; p-hydroxyphenyl ethanol); fatty acids (oleic acid; linoleic acid; palmitic acid; elemi-c alkyd).

Claims (20)

1. A dermatological composition comprising (i) an algal extract comprising a polypeptide and (ii) an olive leaf extract comprising hydroxytyrosol, wherein the dermatological composition further comprises oleuropein, wherein the weight ratio of oleuropein to hydroxytyrosol in the dermatological composition is less than 1, and wherein the dermatological composition comprises hydroxytyrosol in an amount in the range of 0.01-1 wt. -% relative to the total weight of the composition.
2. The dermatological composition according to claim 1, for use in the treatment and/or prevention of a dermatological microbial infection.
3. The dermatological composition according to claim 1 or 2, wherein the olive leaf extract is an olive (Olea europaea) leaf extract and the algae extract is a blue-green algae extract.
4. The dermatological composition of claim 3, wherein the algal extract is an extract of Spirulina platensis (Arthrospira platensis).
5. The dermatological composition according to claim 1 or 2, for use in the treatment and/or prevention of a skin infection or a nail infection selected from the group consisting of nail fungus and athlete's foot.
6. The dermatological composition according to claim 1 or 2, for use in the treatment of wounds.
7. The dermatological composition according to claim 1 or 2, for the treatment of chickenpox or acne.
8. The dermatological composition according to claim 1 or 2, wherein the composition comprises at least a lipopeptide, a tridecapeptide and hydroxytyrosol.
9. The composition for skin according to claim 1 or 2, wherein the olive leaf extract is an olive leaf extract obtainable by extraction with a mixture of alcohol and water and hydrolysis of the extract, and wherein the algae extract comprises a spirulina platensis extract obtainable by extraction with an aqueous liquid.
10. The dermatological composition according to claim 1 or 2, wherein the weight ratio of oleuropein to hydroxytyrosol is < 0.1.
11. The dermatological composition of claim 1 or 2, wherein the dermatological composition further comprises oleic acid, linoleic acid, palmitic acid, a lipopeptide, a tridecapeptide, phycocyanin, and a lipid.
12. The dermatological composition according to claim 1 or 2, for use in the treatment and/or prevention of a skin microbial infection caused by one or more of pseudomonas aeruginosa (p. aeruginosa), staphylococcus aureus (s. aureus), candida albicans (c. albicans), aspergillus brasiliensis (a. brasiliensis) and enterococcus hirae (e.hirae).
13. An applicator comprising the dermatological composition of any one of claims 1-12.
14. The applicator of claim 13, wherein the applicator is a spray applicator, and wherein the dermatological composition is in an aqueous state in a container comprised by the applicator.
15. The applicator of claim 13, wherein the applicator is a pen applicator, and wherein the dermatological composition is a topical composition.
16. The use device according to claim 15, wherein said topical composition is selected from the group consisting of creams, foams, gels, lotions and ointments, powders.
17. The applicator of any one of claims 13-16, wherein the dermatological composition includes olive leaf extract and spirulina platensis extract.
18. A method for preparing a dermatological composition comprising material of algae origin, the composition comprising at least a polypeptide, wherein the method comprises treating algae with an aqueous liquid and providing an algae extract comprising at least the polypeptide to provide the dermatological composition, wherein the dermatological composition comprises material of algae origin and material of olive leaf origin, and wherein the composition comprises at least the polypeptide and hydroxytyrosol, and wherein the method comprises the steps of: (i) treating algae with the aqueous liquid and providing an algae extract comprising at least the polypeptide; (ii) treating olive leaves with an aqueous liquid comprising an alcohol and providing an olive leaf extract, hydrolyzing at least part of the oleuropein in the olive leaf extract to hydroxytyrosol; (iii) (iii) combining the algal extract obtained in step (i) and the olive leaf extract obtained in step (ii) to provide said dermatological composition, wherein the dermatological composition comprises oleuropein to hydroxytyrosol in a weight ratio of < 1, and wherein the dermatological composition comprises hydroxytyrosol in an amount in the range of 0.01-1 wt. -% relative to the total weight of the dermatological composition.
19. The method of claim 18, wherein the method further comprises combining the algae extract with an additional compound or combining an extract of the algae extract and the olive leaf extract with an additional compound.
20. The method of claim 18 or 19, wherein the olive leaves comprise olea europaea, and wherein the algae comprises spirulina platensis.
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